Abstract
The role of viral respiratory tract infections in acute exacerbations of asthma was studied prospectively in 31 patients with atopic asthma aged 15-56 years. Patients recorded symptom scores for asthma and peak expiratory flow rate daily for 11 months. In addition, they reported for detailed clinical, functional, and virological study every four weeks and as soon as possible after the onset of worsening asthma or symptoms suggesting a respiratory tract infection. Thirty viral identifications were made, of which 18 (60%) were associated with an exacerbation of asthma. Viral respiratory tract infection was identified in 18 (10%) of the 178 exacerbations of asthma, and in 10 (36%) of the 28 severe exacerbations. The frequency of viral identifications in 16 non-asthmatic, control subjects during the same period was similar. It is concluded that viral respiratory tract infections may cause or be associated with exacerbations of asthma in adults, and that they are an important factor in severe exacerbations.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- Albazzaz M. K., Harvey J. E., Grilli E. A., Caul E. O., Roome A. P. Subunit influenza vaccination in adults with asthma: effect on clinical state, airway reactivity, and antibody response. Br Med J (Clin Res Ed) 1987 May 9;294(6581):1196–1197. doi: 10.1136/bmj.294.6581.1196. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Barbee R. A., Halonen M., Lebowitz M., Burrows B. Distribution of IgE in a community population sample: correlations with age, sex, and allergen skin test reactivity. J Allergy Clin Immunol. 1981 Aug;68(2):106–111. doi: 10.1016/0091-6749(81)90167-6. [DOI] [PubMed] [Google Scholar]
- Berthiaume L., Alain R., McLaughlin B., Payment P., Trépanier P. Rapid detection of human viruses in faeces by a simple and routine immune electron microscopy technique. J Gen Virol. 1981 Jul;55(Pt 1):223–227. doi: 10.1099/0022-1317-55-1-223. [DOI] [PubMed] [Google Scholar]
- Carlsen K. H., Orstavik I. Bronchopulmonary obstruction in children with respiratory virus infections. Eur J Respir Dis. 1984 Feb;65(2):92–98. [PubMed] [Google Scholar]
- Clarke C. W. Relationship of bacterial and viral infections to exacerbations of asthma. Thorax. 1979 Jun;34(3):344–347. doi: 10.1136/thx.34.3.344. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Empey D. W., Laitinen L. A., Jacobs L., Gold W. M., Nadel J. A. Mechanisms of bronchial hyperreactivity in normal subjects after upper respiratory tract infection. Am Rev Respir Dis. 1976 Feb;113(2):131–139. doi: 10.1164/arrd.1976.113.2.131. [DOI] [PubMed] [Google Scholar]
- Frick O. L. Role of viral infections in asthma and allergy. Clin Rev Allergy. 1983 Mar;1(1):5–17. doi: 10.1007/BF02991314. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hall W. J., Hall C. B., Speers D. M. Respiratory syncytial virus infection in adults: clinical, virologic, and serial pulmonary function studies. Ann Intern Med. 1978 Feb;88(2):203–205. doi: 10.7326/0003-4819-88-2-203. [DOI] [PubMed] [Google Scholar]
- Hargreave F. E., Ryan G., Thomson N. C., O'Byrne P. M., Latimer K., Juniper E. F., Dolovich J. Bronchial responsiveness to histamine or methacholine in asthma: measurement and clinical significance. J Allergy Clin Immunol. 1981 Nov;68(5):347–355. doi: 10.1016/0091-6749(81)90132-9. [DOI] [PubMed] [Google Scholar]
- Horn M. E., Brain E. A., Gregg I., Inglis J. M., Yealland S. J., Taylor P. Respiratory viral infection and wheezy bronchitis in childhood. Thorax. 1979 Feb;34(1):23–28. doi: 10.1136/thx.34.1.23. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hudgel D. W., Langston L., Jr, Selner J. C., McIntosh K. Viral and bacterial infections in adults with chronic asthma. Am Rev Respir Dis. 1979 Aug;120(2):393–397. doi: 10.1164/arrd.1979.120.2.393. [DOI] [PubMed] [Google Scholar]
- Huhti E., Mokka T., Nikoskelainen J., Halonen P. Association of viral and mycoplasma infections with exacerbations of asthma. Ann Allergy. 1974 Sep;33(3):145–149. [PubMed] [Google Scholar]
- Lambert H. P., Stern H. Infective factors in exacerbations of bronchitis and asthma. Br Med J. 1972 Aug 5;3(5822):323–327. doi: 10.1136/bmj.3.5822.323. [DOI] [PMC free article] [PubMed] [Google Scholar]
- McIntosh K., Ellis E. F., Hoffman L. S., Lybass T. G., Eller J. J., Fulginiti V. A. The association of viral and bacterial respiratory infections with exacerbations of wheezing in young asthmatic children. J Pediatr. 1973 Apr;82(4):578–590. doi: 10.1016/S0022-3476(73)80582-7. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Minor T. E., Dick E. C., Baker J. W., Ouellette J. J., Cohen M., Reed C. E. Rhinovirus and influenza type A infections as precipitants of asthma. Am Rev Respir Dis. 1976 Feb;113(2):149–153. doi: 10.1164/arrd.1976.113.2.149. [DOI] [PubMed] [Google Scholar]
- Minor T. E., Dick E. C., DeMeo A. N., Ouellette J. J., Cohen M., Reed C. E. Viruses as precipitants of asthmatic attacks in children. JAMA. 1974 Jan 21;227(3):292–298. [PubMed] [Google Scholar]
- Roldaan A. C., Masural N. Viral respiratory infections in asthmatic children staying in a mountain resort. Eur J Respir Dis. 1982 Mar;63(2):140–150. [PubMed] [Google Scholar]
- Tarlo S., Broder I., Spence L. A prospective study of respiratory infection in adult asthmatics and their normal spouses. Clin Allergy. 1979 May;9(3):293–301. doi: 10.1111/j.1365-2222.1979.tb01556.x. [DOI] [PubMed] [Google Scholar]